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ADAM LEE HALVERSON DO
NPI 1922340967
Orthopaedic Surgery - Foot and Ankle Surgery in Wausau, WI

Active since March 16, 2013PECOS EnrolledAccepts Medicare Assignment
85.41/100
CMS Quality Rating
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401(715) 359-6442(715) 393-0390 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, May 20, 2021, Mar 22, 2019 and 1 more (4 updates tracked since 2018).

About Adam Lee Halverson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM LEE HALVERSON DO (NPI 1922340967) is an individual foot and ankle surgery provider in Wausau, Wisconsin, licensed in Wisconsin (69905-21) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1922340967
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameADAM LEE HALVERSONCredential: DO
Location Address225000 HUMMINGBIRD RD STE 100Wausau, WI 54401-2950
Mailing Address225000 Hummingbird Rd Ste 100Wausau, WI 54401-2950 · (715) 359-6442 · Fax (715) 393-0390
Phone(715) 359-6442
Fax(715) 393-0390
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 16, 2013
Last NPPES UpdateJune 17, 20214 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1922340967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
Licenses✔ Licensed in WI · 69905-21✔ Licensed in OH · 34.012228
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 69905 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
225000 HUMMINGBIRD RD STE 100, Wausau, WI 54401
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15100 W Broad StColumbus, OH 43228-1607 · Phone (614) 544-1000 · Fax (614) 544-1751
Location 2300 Polaris Pkwy Ste 2000Westerville, OH 43082 · Phone (614) 895-8747 · Fax (614) 895-3246
Location 3350 W Wilson Bridge Rd Ste 200Worthington, OH 43085 · Phone (614) 895-8747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Lee Halverson Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446526420
PECOS Enrollment IDI20190621002732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
83 services49 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
68 services45 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
52 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
27 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40
Cost71.55

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers13 claims13 services$215.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY SUZANNE NOVAK PA-C
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
ERIC THIEL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
BRADLEY A MUELLER APNP
Nurse Practitioner (Family)
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. MICAH LANDRY MACASKILL MD
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
RIB MOUNTAIN, WI 54401
Marathon County (715) 359-6442
CHARLES K MARTIN PA
Physician Assistant
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
PAUL T STROBEL DPM
Podiatrist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442
DR. ROGER EUGENE GREGUSH DO
Orthopaedic Surgery
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (800) 445-6442
ABIGAIL KUZAS PT
Physical Therapist
225000 HUMMINGBIRD RD STE 100
WAUSAU, WI 54401
Marathon County (715) 359-6442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Halverson's NPI number?

The NPI number for Adam Halverson is 1922340967. It was assigned to this individual provider in the NPPES registry on March 16, 2013.

Where is Adam Halverson located?

Adam Halverson practices at 225000 Hummingbird Rd Ste 100, Wausau, WI 54401. The listed phone number is (715) 359-6442.

What is Adam Halverson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Adam Halverson enrolled in Medicare?

Yes. Adam Halverson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Halverson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Adam Halverson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Halverson affiliated with any hospitals?

According to CMS data, Adam Halverson is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Adam Halverson was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.